Sandra Simmons, Rph
Pharmacist in Livonia, MI. Individual provider (NPI-1).
NPI number1164053930
StatusActive
Last updated in NPPESJan 30, 2020
Details
- NPI
- 1164053930
- Entity type
- Individual (NPI-1)
- Name
- Sandra Simmons
- Credential
- Rph
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2020
- Certification date
- Jan 30, 2020
- Last updated
- Jan 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 5302026323 | MI | Yes |
Practice location
37340 Five Mile RdLivonia, MI 48154-1800
Phone 734-953-2727
Mailing address
37340 Five Mile RdLivonia, MI 48154-1800
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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